Objective: This study aimed to explore the clinical features and treatment strategies for neck trauma involving laryngeal and tracheal injuries. Methods: We retrospectively evaluated 19 patients with neck trauma associated with laryngeal and tracheal injuries who were admitted to our hospital between July 2016 and August 2024. Following stabilization of vital signs, laryngeal and tracheal reconstruction surgeries were performed based on the location and severity of the injury, followed by postoperative rehabilitation. Postoperative assessments were conducted to evaluate the restoration of respiration, voice, swallowing, and other functions. Results: After a 3–6 months follow-up, 17 of the 19 patients exhibited significant improvement in their respiratory, vocal, and swallowing functions. One patient exhibited poor voice recovery due to recurrent laryngeal nerve injury, which subsequently improved through a second surgery and rehabilitation, while another patient developed pharyngeal leakage postoperatively due to infection; however, the patient recovered after changing the dressing. Conclusion: Prompt, effective, and personalized treatment of concomitant neck injuries involving laryngeal and tracheal injuries can optimize the preservation of patients’ respiratory, vocal, and swallowing functions.